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Revision Tympanoplasty for Chronic Otitis Media | Case Report

on September 04, 2026

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Fibromyalgia Case Study: Symptoms, Investigations, Diagnosis and Management of Chronic Widespread Pain

on September 03, 2026

ANA Positive Case Report Chronic Pain Chronic Widespread Pain Clinical Case Study Fibromyalgia Musculoskeletal Pain Polyarthralgia Rheumatology

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The information provided on Medikalnotes is intended for educational and study purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional for medical advice.

Hitesh Kumar: Welcome to Medikalnotes. I am dedicated to providing simplified, exam-focused medical revision notes and clear breakdowns of complex clinical concepts for healthcare students and professionals. All content is carefully structured for educational and academic preparation.

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ANA Positive
Case Report
Chronic Otitis Media
Chronic Pain
Chronic Widespread Pain
Clinical Case Report
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Clinical Cases
Emergency Medicine
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Epilepsy
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Hypertension
Internal Medicine
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Nephrology
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Tympanic Membrane Perforation
Tympanoplasty

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Seizure-Like Episode in an 18-Year-Old Male: A Clinical Case Report

CLINICAL CASE 02 Suspected Seizure / Convulsive Syncope in an 18-Year-Old Male With Normal Follow-Up MRI and EEG 1. PATIENT PROFILE Age: 18 years Sex: Male Setting: Emergency department Relevant specialty: Neurology 2. CHIEF COMPLAINT The patient presented with: One episode of abnormal behavior associated with clenching of the hands Dizziness Pre-syncope 3. HISTORY OF PRESENTING ILLNESS An 18-year-old male presented to the emergency department following an episode of abnormal behavior associated with clenching of the hands. The episode was accompanied by dizziness and a sensation of pre-syncope. There was no reported tongue bite or upward rolling of the eyeballs. On initial evaluation, the patient was conscious and oriented. The clinical presentation raised the possibility of a seizure-like event versus convulsive syncope or myoclonic jerks. 4. INITIAL CLINICAL EXAMINATION General and Neurologi...

Fibromyalgia Case Study: Symptoms, Investigations, Diagnosis and Management of Chronic Widespread Pain

Fibromyalgia Case Study: Symptoms, Investigations, Diagnosis and Management of Chronic Widespread Pain Clinical Case Presentation 1. Patient Profile Parameter Details Age 25 years Sex Female Presenting Problem Chronic widespread musculoskeletal pain Duration Approximately 1 year 2. Chief Complaints Polyarthralgia for approximately 1 year Generalized myalgia Lower back pain Pain predominantly worsening at night Requirement for frequent/daily NSAID use for pain relief 3. History of Presenting Illness A 25-year-old female presented with a history of generalized joint pain (polyarthralgia) for approximately one year , associated with widespread muscle pain and lower back pain. There was no history of early morning stiffness or clinically apparent joint swelling . The patient reported that the pain was more prominent at night and...

Hypertension & Renal Dysfunction Clinical Case

CLINICAL CASE 01 A Patient With Severe Hypertension and Renal Dysfunction Clinical Case | Investigations | Diagnosis | Management 1.PRESENTING COMPLAINTS WITH BRIEF HISTORY: patient is presented with complaints of light-headedness, dizziness, palpitation since today afternoon. Past History: permacath insertion done on (date) CKD stage 5D (twice weekly), last HD done on(RELEVANTDATE), ILD, OSA, hypertension, diabetes mellitus type II, anemia. 2.CLINICAL EXAMINATION: Conscious, oriented, moving all 4 limbs, speech normal 2D Echo was done which showed no RWMA of LV, LVEF-60%. Mild LVH. High normal LA. Mild (2+) MR. Mild TR (PASP=31mmHg). Sclerotic aortic valve, Mild AR. No AS. Diastolic relaxation abnormality present. No IC/clot/ mass/vegetation/PE. USG Whole Abdomen was done which showed bilateral medical renal disease. Grade-l prostatomegaly. Left sided pleural effusion. Ophthalmology opinion was taken and advised for Fundus Examination which...